Individual provider Active NPI

Julianne R. Gallerani, O.D.

  • Optometrist
  • Feeding Hills, MA
National Provider Identifier
1639142334
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3119 Issued in MA
Practice address
656 Springfield St
Feeding Hills, MA 01030-2130
Phone
(413) 789-2106
Fax
(413) 786-6918
NPI assigned
Feb 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3119 MA Primary
Corneal and Contact Management Optometrist 152WC0802X 3119 MA
Pediatric Optometrist 152WP0200X 3119 MA
Sports Vision Optometrist 152WS0006X 3119 MA
Occupational Vision Optometrist 152WX0102X 3119 MA

Addresses

Primary practice location

656 Springfield St
Feeding Hills, MA 01030-2130

Mailing address

656 Springfield St
Feeding Hills, MA 01030-2130
Phone (413) 789-2106

Other identifiers 5

IdentifierTypeStateIssuer
15792OtherMAHEALTHNEWENGLAND
S016443OtherMACHAMPUS
0352624MedicaidMA
310019OtherMACONNECTICARE
W15626OtherMABLUECROSSBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090205000595 MA Practitioner - Optometry 4688738644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agawam Eye Associates IncGroup PAC ID 2567526395, 2 clinicians

Practice addresses (Care Compare)

656 Springfield St
Feeding Hills, MA 01030-2130
Phone (413) 789-2106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agawam Eye Associates, Inc Optometrist CurrentSince Jan 1, 2009 Accepting new patients

Locations

656 Springfield St
Feeding Hills, MA 01030
Phone (413) 789-2106

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1639142334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 SPRINGFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302130",
            "telephone_number": "413-789-2106",
            "fax_number": "413-786-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 SPRINGFIELD ST",
            "city": "FEEDING HILLS",
            "state": "MA",
            "postal_code": "010302130",
            "telephone_number": "413-789-2106",
            "fax_number": "413-786-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLERANI",
        "first_name": "JULIANNE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-12",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3119",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "3119",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MA",
            "license": "3119",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "MA",
            "license": "3119",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MA",
            "license": "3119",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNEWENGLAND",
            "identifier": "15792",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "S016443",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0352624",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "310019",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "W15626",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Feeding Hills, MA

Sources for this page

Verify at the official NPI Registry.